Co-occurrence of diabetes and depression: Conceptual considerations for an emerging global health challenge
Co-occurrence of diabetes and depression: Conceptual considerations for an emerging global health challenge
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DOI：
10.1016/s0165-0327(12)70009-5
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发表时间：
2012-10-01
影响因子：
6.6
通讯作者：
Oldenburg, Brian
中科院分区：
文献类型：
--
作者：
Fisher, Edwin B.;Chan, Juliana C. N.;Oldenburg, Brian
背景资料：考虑到糖尿病和抑郁症之间的关系，可以提高方案，以减少他们的个人和共同的疾病burn.Methods：本文讨论了糖尿病和抑郁症之间的关系，对每个人的影响范围，概念问题的核心，他们的定义，和干预措施，包括全面的，人口的方法，他们的预防和管理。基础性和示范性文献确定的写作团队，根据他们的领域的expertise.Results：糖尿病和抑郁症相互影响，同时共享广泛的生物，心理，社会经济和文化的决定因素。它们可以被视为：（a）不同但有时共病的实体，（B）维度，（c）更广泛类别的部分，e。例如，在一个实施例中，代谢/心血管异常或负面情绪，或（d）综合，使糖尿病的综合治疗包括抑郁症或负面情绪，抑郁症通常考虑可能的糖尿病或其他慢性疾病。一些重要的观点和研究可能被忽视了。结论和临床意义：初级保健和专科医生以及计划和公共卫生管理人员之间的合作，应反映糖尿病，抑郁症和其他慢性精神和身体疾病的共性。干预措施应包括综合临床护理和自我管理计划，沿着人群预防和管理方法。自我管理和解决问题可以提供一个连贯的框架，整合不同的任务和目标的糖尿病和抑郁症或许多其他品种的多发病率。(C)2012年爱思唯尔B。V.保留所有权利。
Background: Considering the relationships between diabetes and depression may enhance programs to reduce their individual and shared disease burden.Methods: This paper discusses relationships between diabetes and depression, the range of influences on each, conceptual issues central to their definition, and interventions including comprehensive, population approaches to their prevention and management. Foundational and exemplary literature was identified by the writing team according to their areas of expertise.Results: Diabetes and depression influence each other while sharing a broad range of biological, psychological, socioeconomic and cultural determinants. They may be viewed as: (a) distinct but sometimes comorbid entities, (b) dimensions, (c) parts of broader categories, e. g., metabolic/cardiovascular abnormalities or negative emotions, or (d) integrated so that comprehensive treatment of diabetes includes depression or negative emotions, and that of depression routinely considers possible diabetes or other chronic diseases.Limitations: The choice of literature relied primarily on the authors' knowledge of the issues addressed. Some important perspectives and research may have been overlooked.Conclusions and clinical implications: Collaboration among primary care and specialist clinicians as well as program and public health managers should reflect the commonalities among diabetes, depression, and other chronic mental and physical disorders. Interventions should include integrated clinical care and self-management programs along with population approaches to prevention and management. Self management and problem solving may provide a coherent framework for integrating the diverse tasks and objectives of those living with diabetes and depression or many other varieties of multi-morbidity. (C) 2012 Elsevier B. V. All rights reserved.